| NPI | 1841205382 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TN 43705) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MI 4301082625) |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2021-09-19 |